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"There are several reasons someone may not take a GLP-1 consistently, including cost, inconsistent access, manufacturer shortages or loss of coverage," says Gretchen Zimmermann, M.B.A., RD, CDCES, CSOWM

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If fatigue persists beyond 68 weeks, discuss with your provider whether dosage reduction, switching to a different GLP-1 formulation, or adding complementary medications may help

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Suppliers cultivate reputations through community engagement, creating a trust dynamic that mimics but does not replicate the trust warranted by regulatory oversight